MRS. Kimberly Jean Golding Wagner, LMSW

NPI #1285834499 in Lyons, New York

Provider Information

NPI Number: 1285834499
Entity Type: Individual
Name: MRS. Kimberly Jean Golding Wagner, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jul 25, 2007
Last Updated: Jul 25, 2007

Practice Location

Address: 1519 NYE ROAD
City: Lyons
State: New York
ZIP Code: 14489
Phone: (315) 946-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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